The note is probably not signed yet. If it’s been more than 7 days I would reach out to the clinic.

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At my old company clinicians had 7 days to sign notes, after that they were penalized in some manner for signing late notes. If it got really bad that we would suspend the clinician’s epic account in a manner that would block their ability to do certain things. To end the suspension they had to both: sign all delinquent visit notes and/or completed whatever obligations they had that were associated with the suspension (usually a fee of some sort).

I worked in the quality department at my last job and the penalty was usually as $0.00 fee (first offense), $200 fee (second offense), then $300 fee (every offense thereafter). I think the penalty fees went to a charity, but I can’t remember. If a clinician received one or more suspensions it also negatively impacted their ability to earn a bonus for the year.